Deputy First Minister of Scotland presents nurture award in Edinburgh

image of classroom with children and teachers

Deputy First Minister of Scotland John Swinney and nurtureuk CEO Kevin Kibble last week presented the National Nurturing School Award to St Mary’s Primary School in Edinburgh, the first school in Edinburgh to receive the award.

The National Nurturing School Award is presented to schools that have successfully completed a two-year programme aimed at embedding a whole-school approach to mental health and wellbeing for all pupils and staff. Teachers are trained to focus on emotional needs and development as well as the academic learning of all pupils, and to embed the six principles of nurture throughout the policies and practices of a school. This enhances teaching and learning and promotes healthy outcomes for children, young people and the staff in the school. Teachers are also trained to use the Boxall Profile, the educational psychologist designed tool to identify children and young people who need additional, more focused support or interventions.

The importance of nurturing interventions has been recognised by the Scottish Government and Education Scotland. A nurturing approach is promoted as an effective intervention to reduce school exclusions and support positive relationships and behaviour in the Scottish Government’s flagship strategy Included, Engaged and Involved. Education Scotland has also published guidance and good practice examples for nurturing approaches, citing the benefits of nurturing interventions for attainment and behaviour, especially for young people who have experienced Adverse Childhood Experiences (ACEs).

We were delighted that the Deputy First Minister attended the award presentation to show his support for whole-school nurturing interventions as a key part of the Scottish Government’s developing national approach to young people’s wellbeing.

You can read more about our work in Scotland by downloading our policy briefing here.

Secure bases – building resilience through belonging

child playing in tent

We all understand the widely researched impacts of nurture – happier, more successful children, reduced exclusion, improved attendance, better attainment.  Lately, I’ve been interested in one of the finer, more subtle impacts for children and young people – the impact of a sense of belonging. The language of belonging is everywhere – we talk about a sense of place; putting down roots, even CBBC asks our children to find their tribe!

How many of us belong to a choir, gym, sports team, am-dram group, organisation of some sort?  How many of you enjoy the pleasures of sharing an interest with others?  How many of you get the buzz of discussing ideas with those of like mind?…  All belonging – all that biological drive to belong, to share, to be part of something.  Humans, like many other species, are geared up to live in social groups.  Bruce Perry, a well-known child psychiatrist and neuroscientist talks about the advantages of there being roughly four developmentally more mature potential caregivers for each child under the age of 6 in multi-generational groups seen throughout the history of human evolution. This enriched relational ratio helped the group protect, nurture, educate, and enrich the lives of each developing child.  The African proverb says “it takes a village to raise a child” referring to the belief that all adults in the group are responsible for the child’s growth and development.   Current neuroscientists refer to the “social brain” and we know that much early learning occurs through mirror neurons.  At the other end of the spectrum of belonging, isolation through solitary confinement in prison is one of the most devastating sanctions we apply in our penal codes.

It’s not surprising, therefore, that “belonging” is a significant strand in the resilience framework developed by Angie Hart, Derek Blincow and Helen Thomas  (2007).   This strand looks at relationships – the number and quality; it looks at supporting children and young people to make sense of their place in the world – who am I; where do I fit – what do I believe in?  And it looks at fun and enjoyment.  An inspiring mission statement for schools?  And certainly seen in nurture groups across all phases.   Think about Harry Potter – bereavement, trauma and neglect in his early life but when he found a place to belong, he could do marvellous things.

John Bowlby, the pioneer of our current understanding of attachment, opened up our awareness of the importance of attuned, consistent caregiving and the consequences when children don’t experience this.  Among his key ideas is the concept of a secure base – a place of safety and confidence from which the child can explore, take risks, learn and become resilient.  Those of you who have been the adults with the buggy, or seen this in the park, will know how the toddler wanders away from the buggy, finds a treasure, takes it back to the buggy, or secure base, and is then able to go and explore again confidently.

Our schools are the secure bases for many of our children and young people with insecure attachment or other SEMH need.  Often their world outside school is not safe – school is their haven.  And, we know that we can sometimes challenge and punish who we love the most – those of you who, like me, may not have been kind to your family at home on your return after a tough day.  And so it is for children and young people – they project their negative thoughts and feelings to us, give us what my colleague once called “emotional vomit”.  But they lack resilience, they doubt our regard and question our response.

To hold on to our children and young people when they challenge us; to understand that their behaviour communicates distress and fear; to be resilient enough ourselves to contain their distress – this is what building resilience through belonging truly is.  Through confidently understanding this and maintaining an ethos of inclusion, resilience throughout the school system will develop.  The more we see the successes, the more we are motivated to remain committed to the children and young people we serve.  Each success creates positivity.

Alongside this, investing in support for ourselves and our colleagues is crucial.  We can’t pour from an empty jug.  Exploring the resilience framework as it relates to staff wellbeing is an essential part of the work that we do.  It is a core part of our duty to ourselves but also improves our efficacy as a practitioner.  Making time to rest and recharge makes us better at responding to our children and young people – it will improve the capacity of the school system to respond effectively and with resilience.

So building resilience through creating a sense of belonging – for everyone in schools – is it hard? – “You betcha” as Rita Pierson says in her TED talk “Every child needs a champion” but it can be done.  We know it can; we see it all the time in our nurture groups.

Reference

Hart A, Blincow D & Thomas H (2007) Resilient Therapy: Working with children and families. Hove: Routledge

NHS Long Term Plan promises increased CAMHS funding

people in office talking

The newly released NHS Long Term Plan sets out commitments to expanding mental health services for children and young people in a dedicated section on children and young people’s mental health (CAMHS). The plan includes the welcome promise that funding for CAMHS will grow faster than both overall NHS funding and total mental health spending. It also promises that an estimated 345,000 more children and young people will be treated via NHS funded mental health services and school or college-based mental health support teams over the next five years.

This follows a period of significant public outcry over the state of CAMHS services across the country. A series of reports on CAMHS from the Care Quality Commission in 2017 and 2018 found that many children are unable to access timely and appropriate support, quality of care was often poor, and structure, commissioning, and oversight of CAMHS services is often ineffective. Around a quarter of children who are assessed are turned down for treatment, often on the grounds that their problems are “not serious enough”.

The new NHS Long Term plan also commits to embedding mental health support in schools and colleges, including funding and support for new Mental Health Support Teams working in schools and colleges. This is part of a package of measures proposed in the green paper “Transforming children and young people’s mental health provision”, which includes a strong focus on whole-school approaches to mental health and wellbeing.

While the ambition to create mental health support teams in every school is welcome, educational leaders have expressed fears that they will not be provided with the necessary resources for the new teams to work effectively, including staff time, training, and support for implementation. Concerns have also been raised about whether challenges specific to areas of significant socioeconomic disadvantage were being sufficiently taken into account in preparing to introduce the new regulations. Planned implementation of the green paper will leave many areas of the country waiting years for improvements, as the proposals are due to be in place in only ‘a fifth to a quarter’ of the country by the end of 2022/23.

More broadly, while many ambitions for improved health outcomes contained in the NHS Long Term Plan have been welcomed by experts and practitioners, questions are being asked over whether the allocated funding will be enough to deliver them. The plan also does not mention staffing, an issue which will be key to delivering improvements, with staffing shortages already posing a significant challenge and expected to cause even greater disruption after Brexit. In her response to the plan, the Children’s Commissioner has also called for an NHS-funded counsellor in every school, highlighting that more will need to be done for children with minor conditions and to improve the system as a whole.

Nurtureuk welcomes the commitment to grow CAMHS as a proportion of health services contained within the Long Term Plan, and calls on the government to further expand provision based on need, as well as ensure the promised improvements to outcomes are backed up by investment and resources.